- Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
- Section 201 would cut #Medicaid expansion match from 90% to 80% for any state using their *own* funds to cover undocumented immigrants leading those states to drop that coverage. Some states with "trigger" laws may have no choice but to drop that coverage as their expansion could automatically end.
- Section 202 would eliminate #Medicaid & CHIP coverage for people during a "reasonable opportunity period". Citizenship/ immigration status are usually automatically verified but in small number of cases people have 90 days to submit needed additional info. They now get temporary coverage in interim.
- Section 302 would prohibit federal #Medicaid & CHIP matching funds for gender affirming care for transgender individuals, forcing states to either drop that coverage or have to pick up all of the costs using their own funds.
- Senate Democrats were able to successfully exclude these 3 harsh House-passed cuts from the final version of H.R. 1 because they violated the "Byrd Rule". But as part of a draft bill that does *not* extend the expiring Marketplace credits in any form, Senate GOP leaders are trying to revive them.Dec 9, 2025 00:47
- It shows GOP Congress may want to further cut #Medicaid on top of nearly $1T in cuts enacted in H.R. 1 that will make 7.5M people uninsured. The draft bill also shows that both House and Senate GOP leaders aren't very serious about preventing the expiration of the enhanced Marketplace credits.
